Carlos Albacete

📖 Extracorporeal cardiopulmonary resuscitation: let's open the Blue Book, latest edition of the @ELSOOrg #ECMO specialist training manual! Chapter 18 is focused on extracorporeal support in patients experiencing cardiac arrest #ECPR 🛒 bit.ly/ELSObooks

🩸New in #CriticalCare: Effect of femoro-axillary V-A ECMO flow on pulmonary capillary wedge pressure doi.org/qwd5 #CritCare #ECMO #Capillary

ELSO 2025 guideline on #ECMO training & continuing education 🎓 methodologies 📋 minimum standards for initial/ongoing training, simulation, case volume, developing instructors 📜 assessment /certification 🎓 becoming endorsed training center 🔓bit.ly/3NzTwdd

@Alex_Inspira Por favor, me lo envías , muchas gracias

NADIE te explica cómo usar Gemini Pro 3.1 bien. Reuní +300 Prompts para convertirlo en una máquina de automatización. (LISTA ACTUALIZADA) Like + RT + sígueme Comenta “IA” y te los envío por DM.

@Alex_Inspira IA

Antimicrobial stewardship in #ECMO? Challenging & evolving discipline, with limited data available! 🧫 infections & 🧪 infection biomarkers during #ECLS 💉 PK/PD & appropriate antimicrobial dosing 💉 ABT prophylaxis in ECMO: yes or no? 🔮 empirical antimicrobials and circuit/cannula change 🩺 ABT and diagnostic stewardship in ECMO 🚧 infection control strategies The prominent PK alterations induced by circuits + prolonged ICU stays + high infection risk make optimal ABT therapy complex. Evidence for use of stewardship in #ICU patients remains applicable to those receiving ECMO. 🔗 bit.ly/4cXVzlj

💡Interpreting LVAD physiology with echo plus intracardiac pressure monitoring (RAP and LAP) is essential. 👉Key to distinguishing volume status, RV failure, elevated PVR, and inflow/outflow problems @NMerke, #echofirst

Exploratory laparotomy in #ECMO: 🔍 > 1,3K #ECLS patients: 4% abdominal exploration to manage various complications as mesenteric ischemia, intra-abdominal hemorrhage, abdominal compartment syndrome, bowel perforation 🩺 indications included bowel pneumatosis, portal venous gas, free intraperitoneal air, mesenteric edema, or progressive abdominal distention + rapid Hb decrease, increasing vasopressor requirements, or rising ventilatory pressure 🔪 surgical procedures included resection of necrotic bowel, repair of bowel perforations, other 🪦 mortality 57%; higher disease severity scores, diagnosis of mesenteric ischemia, pre-ECMO lactate = significant factors influencing mortality 🩸 most ischemic injuries represented watershed hypoperfusion related to CS or ECMO physiology: thromboembolic occlusion uncommon Early recognition, multidisciplinary care, aggressive management essential to improving outcomes 🔗 bit.ly/4alLSvB

(Circuit) integration or separation approach in #ECMO patients requiring #CRRT? E-CRRT RCT 🔎 80 pts allocated to CRRT/ECMO circuits integration vs separation ⚖️ no significant difference in filter lifespan between integration/separation configurations 🪦 comparable mortality 🫧 no significant differences in serious adverse events, including air embolism 🚨 transmembrane pressure + CRRT machine alarm frequencies similar #FOAMcc 🔓 rdcu.be/e2FyX

🫀📊 Ya tienes calculadora SCORE2 integrada (ESC 2021–2025): selecciona automáticamente SCORE2 (40–69 sin DM), SCORE2-OP (≥70) o SCORE2-Diabetes (40–69 con DM2) 💥 Riesgo CV a 10 años + umbrales por edad + objetivos LDL. 👉 cardioteca.com/calculadoras-p… #PrevenciónCV #SCORE2 #Diabetes #ESC #AtenciónPrimaria #Cardiología

VA #ECMO axillary artery cannulation & aortic hemodynamics ☢️ computational fluid dynamics models 🩸 3 flow behaviours: descending-directed, arch-split, retrograde aortic valve-directed patterns, depending on access site, support level, aortic geometry 🫀 RAA access more frequently resulted in retrograde flow, particularly in type III arch configurations 🫀 LAA cannulation promoted antegrade or arch-split flow, independent of arch morphology: this access may provide more favourable antegrade flow, particularly if CO impaired @asaiojournal 🖇️ bit.ly/3OkAPKd

El sistema sanitario se sostiene en el silencio hyperbole.es/2026/01/el-sis…

España entra en la mayor crisis demográfica de su historia con un modelo sanitario diseñado para otra época. hyperbole.es/2026/01/el-sis…

Spanish Center’s Early Experience With Donation Following Circulatory Death in Heart Transplantation ASAIO Journal 72(1):p 42-48, January 2026. | DOI: 10.1097/MAT.0000000000002458 ow.ly/2fJq50Y2Spb #ASAIO #ECMO

Conversion from VV to VA or hybrid #ECMO in patients treated for refractory respiratory failure developing refractory hypoxemia or hemodynamic compromise: 🔍 analysis of ELSO Registry including 29K adults 🫀 2.4% converted: 56.8% to VA, 43.2% to hybrid ⚖️ increased complications & higher mortality Initial configuration selection pivotal. Need for conversion occurs under dynamic conditions: timely and decisive changes in configuration should be part of general support algorithm. @CritCareMed 🔗 bit.ly/4pT9Na1

Impella 5.5 as Heart Transplant Bridge Facilitated Rehabilitation and Improves Post-Transplant Outcomes: Retrospective Cohort Study ASAIO Journal 72(1):p 49-55, January 2026. | DOI: 10.1097/MAT.0000000000002460 ow.ly/qThK50Y2Sql #ASAIO

@EduardArgudo @semicyuc @jrdelbrio @ECMOHUVH @AaronBlandino85 @LMartinVillen @PlanNacionalRcp @CarolaVich @GarnachoJose Allí estaremos Eduard!!

¡Cuenta atrás! ⏳ En poco más de un mes, I Jornadas Nacionales de Actualización en ECMO de @semicyuc 📅26–27 febrero 📍Madrid Actualidad, controversias y manejo avanzado del paciente en ECMO con referentes nacionales e internacionales. ¡Te esperamos! semicyuc.org/2025/12/i-jorn…

Nitric oxide delivery into #ECMO sweep flow? ⚖️ legal & regulatory considerations 🌱 environmental considerations 💨 NO delivery systems 🫁 iNO 💨 sNO: technical challenges and solutions 🔗 bit.ly/3Nilw4i PS do you want to know more about the role for NO in the SGF to the membrane lung during #ECLS?? Join the 🐾 SNOOPI open 🔓 webinar 🧪 biology of nitric oxide 🩺 clinical experience & how to use sNO 🔍 latest (& future) research Register at 🔗 bit.ly/44uFizx 📆 January 12, 2026 ⏰ 8-10:00 am EST #FOAMcc #FOAMecmo #PedsICU

“La Adoración de los Reyes Magos”, Juan Bautista Maíno, 1612-1614 museodelprado.es/coleccion/obra…